Stypmann Jörg, Engelen Markus A, Breithardt Anne-Kristin, Milberg Peter, Rothenburger Markus, Breithardt Ole A, Breithardt Günter, Eckardt Lars, Cordula Poulsen Nautrup
Department of Cardiology and Angiology, University Hospital Münster, Germany.
Int J Cardiol. 2007 Feb 7;115(2):164-70. doi: 10.1016/j.ijcard.2006.03.006. Epub 2006 Jun 27.
In the past years, Doppler echocardiography has evolved into a commonly used technique. More recent sophisticated advances in imaging quality have substantially improved spatial and temporal resolution allowing the adaptation of this technique to small animal models, particularly in rabbits but even in mice. Recently, parameters obtained by Tissue Doppler Imaging (TDI) have been shown to be more independent of pre- and afterload than classic hemodynamic Doppler measurements. Exploration of animal models may require anaesthesia but there is only very little information on the effect of anaesthesia on echocardiographic parameters in rabbits.
We therefore performed Doppler-echocardiographic examinations of 20 wild-type New Zealand White rabbits in awake state and under light ketamine-xylazine anaesthesia. Special focus was put on the evaluation of global and regional left ventricular systolic and diastolic function using TDI and the myocardial performance index (Tei-index).
Doppler-echocardiographic measurements including TDI in rabbits were feasible to assess cardiac morphology and function within a short examination time. There were some distinct changes of functional parameters during anaesthesia. Exemplary for systolic function, fractional shortening, cardiac output and systolic TDI velocity of the lateral wall decreased distinctly. Global left ventricular function measured by the Tei-index deteriorated.
Doppler echocardiography and TDI can be performed easily, quickly and safely in the rabbit. Anaesthesia with the cardiodepressive ketamine-xylazine shows some distinct Doppler-echocardiographically measurable negative effects on cardiac function. Thus, echocardiography with less cardiodepressive anaesthetic regimes or even without anaesthesia after training of the animals should be considered as alternatives whenever possible.
在过去几年中,多普勒超声心动图已发展成为一种常用技术。最近成像质量的复杂进展显著提高了空间和时间分辨率,使该技术能够应用于小动物模型,特别是兔子,甚至小鼠。最近研究表明,与传统血流动力学多普勒测量相比,组织多普勒成像(TDI)获得的参数对前负荷和后负荷的依赖性更小。对动物模型进行研究可能需要麻醉,但关于麻醉对兔子超声心动图参数影响的信息非常少。
因此,我们对20只野生型新西兰白兔在清醒状态和氯胺酮-赛拉嗪轻度麻醉下进行了多普勒超声心动图检查。特别关注使用TDI和心肌性能指数(Tei指数)评估左心室整体和局部的收缩及舒张功能。
在兔子中进行包括TDI在内的多普勒超声心动图测量,在短时间检查内评估心脏形态和功能是可行的。麻醉期间功能参数有一些明显变化。以收缩功能为例,缩短分数、心输出量和侧壁收缩期TDI速度明显降低。通过Tei指数测量的左心室整体功能恶化。
多普勒超声心动图和TDI在兔子中可以轻松、快速且安全地进行。具有心脏抑制作用的氯胺酮-赛拉嗪麻醉对心脏功能有一些明显的可通过多普勒超声心动图测量的负面影响。因此,只要有可能,应考虑采用心脏抑制作用较小的麻醉方案甚至在动物训练后不进行麻醉的情况下进行超声心动图检查作为替代方法。